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510(k) Data Aggregation

    K Number
    K220161
    Date Cleared
    2022-07-20

    (181 days)

    Product Code
    Regulation Number
    876.5320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Biofeedback Nerve and Muscle Stimulator

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The device is intended to provide electrical stimulation and neuromuscular re-education for the purpose of rehabilitation of weak pelvic floor muscles for the treatment of stress, urge and mixed urinary incontinence in women and to maintain urinary continence in women.

    Device Description

    The Biofeedback Nerve and Muscle Stimulator (Model: KM530B, KM531B, KM537) is a type of biofeedback and neuromuscular electrical stimulation therapy device for patients with pelvic floor muscle dysfunction. Through the evaluation of myoelectric signal acquisition, multimedia biofeedback training, electromyography triggered electrical stimulation, passive electrical stimulation training and treatment it helps to strengthen weak pelvic floor muscles for the treatment of stress, urge and mixed urinary incontinence in women.

    The device is battery-powered with a touch screen Liquid Crystal Display (LCD) and offers the user a choice of electromyography (EMG) triggered stimulation (ETS) mode (The device provides a passive pulse stimulation when the level of active contraction of the pelvic floor muscles reaches a threshold by means of electrical feedback from the pelvic floor muscles. 17 (KM536, KM537) or 22 (KM530B, KM531B) pre-set sow-frequency pulses stimulate pelvic floor muscles Electrical Stimulation (STIM) programs with 6 pre-set biofeedback response-based EMG games and the EMG therapy are available for the users. The differences between the model KM536 are only the model's name and the number of STIM Programs. The differences between the model KM531B and KM537 are also only the model's name and the number of STIM Programs.

    AI/ML Overview

    The provided document is a 510(k) summary for the Shenzhen Konmed Technology Co.,Ltd. Biofeedback Nerve and Muscle Stimulator. It describes the device, its intended use, and compares it to a predicate device. However, it does not contain the specific acceptance criteria for performance or a detailed study proving the device meets those criteria, especially in terms of clinical effectiveness.

    The document focuses on demonstrating substantial equivalence primarily through technical specifications and compliance with general safety and performance standards. While it mentions "Performance testing according to IEC 60601-2-10, Medical electrical equipment -- Part 2-● 10: Particular requirements for the basic safety and essential performance of nerve and muscle stimulators," this standard generally covers electrical safety and functional performance of the stimulator itself, not necessarily clinical efficacy for treating urinary incontinence.

    Therefore, many of the requested details about acceptance criteria, clinical study design, sample sizes, ground truth, and expert involvement are not available in this 510(k) summary.

    Here's a breakdown of what can be gleaned from the document regarding the requested information:

    1. A table of acceptance criteria and the reported device performance

    The document does not provide a table of specific clinical acceptance criteria (e.g., reduction in incontinence episodes) and reported device performance against those criteria. It lists various safety and performance tests performed to demonstrate compliance with standards:

    Acceptance Criteria (Implied by Standards)Reported Device Performance
    Compliance with IEC 60601-1 (Electrical safety)Met the necessary specification
    Compliance with IEC 60601-1-2 (Electromagnetic compatibility)Met the necessary specification
    Compliance with IEC 60601-1-11 (Home healthcare environment)Met the necessary specification
    Compliance with ISO 10993-1 (Biocompatibility)Met the necessary specification
    Compliance with IEC 60601-2-10 (Nerve and muscle stimulators - basic safety and essential performance)Met the necessary specification
    Compliance with IEC 60601-1-6 and IEC 62366-1 (Usability)Met the necessary specification
    Compliance with FDA guidance for Software verification and validationMet the necessary specification
    Clinical Efficacy (Not explicitly defined or demonstrated in this document for the subject device beyond equivalence to predicate's indicated efficacy)Not explicitly reported for the subject device in this document, instead relies on equivalence to the predicate.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    This information is not provided in the document. The document primarily refers to technical testing against standards, not clinical trials with patient data.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not provided as there is no mention of a test set requiring expert-established ground truth in a clinical context.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not provided.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    An MRMC comparative effectiveness study was not conducted. This device is a biofeedback nerve and muscle stimulator, not an AI-assisted diagnostic or interpretation system that would involve "human readers" in that context.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

    This question is not applicable in the typical sense for this type of device. The device itself is a standalone medical electrical device. Performance testing against relevant IEC standards (e.g., IEC 60601-2-10) would assess the algorithm/device's performance without a "human-in-the-loop" in terms of its core stimulator functions, but not in a way that relates to diagnostic accuracy or interpretation, which is what this question usually implies.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    Given the nature of the device and the provided document, the "ground truth" used was compliance with established international electrical and medical device safety and performance standards (e.g., IEC 60601 series, ISO 10993). Clinical outcomes data for the subject device are not detailed in this summary; rather, its effectiveness is asserted through substantial equivalence to the predicate device, which presumably had established its own clinical effectiveness.

    8. The sample size for the training set

    This information is not provided. This device is not described as utilizing a machine learning algorithm that would require a "training set" in the context of AI.

    9. How the ground truth for the training set was established

    This information is not provided as it's not applicable to the type of device and submission described.

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    K Number
    K211094
    Date Cleared
    2021-07-08

    (87 days)

    Product Code
    Regulation Number
    890.5850
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Nerve and Muscle Stimulator

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    sEMG:

    Biofeedback, Relaxation & Muscle Re-Education purposes;

    NMES (muscle stimulation) and sEMG triggered stimulation (Including ETS, PAS and MIRROR Mode):

    1. Relaxation of muscle spasms;

    2. Prevention or retardation of disuse atrophy;

    3. Increasing local blood circulation;

    4. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis;

    5. Maintaining or increasing range of motion;

    6. Stroke Rehab by Muscle re-education.

    Device Description

    The Nerve and Muscle Stimulator (model: XFT-2003K) is an electrical muscle stimulator for contraction of muscles as indicated above. The Nerve and Muscle Stimulator (model: XFT-2003K) is also an electromyography device. It is intended for medical purposes, such as to monitor and display the bioelectric signals produced by muscles, to stimulate peripheral nerves and to monitor and display the electrical activity produced by nerves. The indications for use are muscle reeducation, relaxation and biofeedback.

    Nerve and Muscle Stimulator (model: XFT-2003K) is powered by MAINS SUPPLY AC 100-240V, 50-60Hz, and used together with Electrode cup (including Sponge).

    The device is used for prescription. It is neither for life-supporting nor for implanting. It does not contain any drug or biological product and it does not need to be sterilized.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study information for the Nerve and Muscle Stimulator:

    The provided document is a 510(k) Summary for a medical device (Nerve and Muscle Stimulator, model XFT-2003k) seeking substantial equivalence to a predicate device (MYOTRAC INFINITI, K053266). This type of submission focuses on demonstrating that the new device is as safe and effective as a legally marketed device, rather than proving its absolute safety and effectiveness through extensive new clinical trials.

    Therefore, direct acceptance criteria and a "study that proves the device meets the acceptance criteria" in the traditional sense of a de novo device approval are not present in this document. Instead, the document provides a comparison to a predicate device and relies on adherence to recognized standards and the established safety and effectiveness of the predicate.

    Here's a breakdown of the requested information based on the provided text, with explanations where direct answers are not available:


    1. Table of acceptance criteria and the reported device performance

    As mentioned, there are no explicit "acceptance criteria" presented as specific performance metrics and thresholds for the subject device to meet independently. The core of this 510(k) submission is to demonstrate substantial equivalence to the predicate device. The "performance" reported is primarily in terms of compliance with recognized electrical safety, EMC, and biocompatibility standards, and a detailed parameter-by-parameter comparison with the predicate device.

    Here's a table summarizing the reported device performance in relation to the predicate, as presented in the "SE Comprehensive Comparison Table" and "SE General Specification Comparison Table":

    Acceptance Criteria (Implied by Predicate Comparison & Standards)Reported Subject Device Performance
    Intended Use/Indications for Use: Equivalent to predicate.sEMG: Biofeedback, Relaxation & Muscle Re-Education purposes.
    NMES (muscle stimulation) and sEMG triggered stimulation (Including ETS, PAS and MIRROR Mode): 1) Relaxation of muscle spasms; 2) Prevention or retardation of disuse atrophy; 3) Increasing local blood circulation; 4) Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis; 5) Maintaining or increasing range of motion; 6) Stroke Rehab by Muscle re-education. (Stated as "SE" (substantially equivalent) to predicate, which has largely similar indications with 7 points.)
    Biocompatibility: Compliance with ISO 10993-1/-5/-10.Compliance with ISO 10993-1/-5/-10: All patient contacting materials are in compliance. ("Same" as predicate.)
    Electrical Safety: Compliance with IEC 60601-1.Compliance with IEC 60601-1: Demonstrated. ("Same" as predicate.)
    EMC: Compliance with IEC 60601-1-2.Compliance with IEC 60601-1-2: Demonstrated. ("Same" as predicate.)
    Performance (general): Compliance with IEC 60601-2-10.Compliance with IEC 60601-2-10: Demonstrated. ("Same" as predicate.)
    Line Current Isolation: 2MOPP.2MOPP. ("Same" as predicate.)
    Patient Leakage Current (Normal Condition): ≤ 1 μA.≤ 1 μA. ("Same" as predicate.)
    Patient Leakage Current (Single Fault Condition): ≤ 1 μA.≤ 1 μA. ("Same" as predicate.)
    Waveform: Functionally equivalent to predicate.Pulsed, Symmetrical balanced biphasic wave (rectangular). ("SE" (substantially equivalent) to predicate's asymmetrical balanced pulsed current, indicating functional equivalence for its purpose.)
    Maximum Output Voltage: Within acceptable therapeutic range.Ranges vary by mode (e.g., NMES P1-P6: 50V@500Ω, 125V@2kΩ, 125V@10kΩ). Compared to predicate (50V@500Ω, 100V@2kΩ, 100V@10kΩ). ("SE" with remark that NMES modes are compared to STIM mode of predicate, and ETS/PAS/Mirror modes compared to Threshold/Triggered modes of predicate. Values are often the same or slightly different but within therapeutic range.)
    Maximum Output Current: Within acceptable therapeutic range.Ranges vary by mode (e.g., NMES P1-P6: 100mA@500Ω, 62.5mA@2kΩ, 12.5mA@10kΩ). Compared to predicate (100.0mA@500Ω, 50mA@2kΩ, 10mA@10kΩ). ("SE" with similar remarks as Max Output Voltage. Values are often the same or slightly different but within therapeutic range.)
    Pulse Duration/width: Within acceptable therapeutic range.Ranges vary by mode (e.g., NMES P1: 250µs; P3: 50µs; P29-P34: 400µs). Compared to predicate (50-400µs). ("SE" to predicate's range.)
    Frequency: Within acceptable therapeutic range.Ranges vary by mode (e.g., NMES P1: 5Hz; P4: 100Hz; P43: 2-250Hz). Compared to predicate (2-100Hz). ("SE" to predicate's range, with some subject device modes exceeding the predicate's upper range or having different specific frequencies.)
    Net Charge per pulse: 0 (balanced).0@500Ω. ("Same" as predicate.)
    Maximum Phase Charge: Within acceptable therapeutic range.Ranges vary by mode (e.g., NMES P1, P6: 25@500Ω; P29, P33, P37: 40@500Ω). Compared to predicate (60@500Ω). ("SE", generally lower than predicate, considered safe.)
    Maximum Current Density: Equivalent or lower than predicate.NMES: P43: 0.38977@500Ω (EC001); 0.14696@500Ω (EC002). Compared to predicate's 0.24mA/cm2 (895220) and 0.08mA/cm2 (895340). (Note 05 states treatment effect is mainly determined by Max Power Density.) The values are within the range or comparable to predicate.
    Maximum Power Density: Equivalent or lower than predicate.NMES: P30, P34, P43: 11.69@500Ω (EC001); 4.41@500Ω (EC002). Compared to predicate's 16mW/cm2 (895220) and 5.3mW/cm2 (895340). (Note 06 argues these values are "effective" by referencing other cleared devices with lower power densities, demonstrating it is within an acceptable therapeutic range.)
    Burst Mode: Functionally equivalent or therapeutically acceptable.(a) Pulses per burst: 2~6000 (Predicate: 4-2000). (Note 07 states difference does not affect safety/effectiveness because duty cycle is same.)
    (b) Bursts per second: 0.05~1 (Predicate: 0.05-0.5).
    (c) Burst duration (seconds): 1~20 (Predicate: 2-20).
    (d) Duty Cycle: 1 (Predicate: 1). ("Same" as predicate.)

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Sample size for test set: Not applicable (N/A). The submission explicitly states "Brief discussion of clinical tests: N/A." The evaluation is based on non-clinical testing (bench testing, standards compliance) and a comparison to a predicate device, not on a clinical test set from a study.
    • Data provenance: N/A for clinical data. Non-clinical testing data would be generated in Shenzhen, China (manufacturer's location).

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    • Number of experts and qualifications: N/A. No clinical test set with human-established ground truth was used. The ground truth for substantial equivalence is derived from the predicate device and established medical device standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    • Adjudication method: N/A. No clinical test set was used requiring adjudication.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    • MRMC study: N/A. This is an electrical stimulator, not an imaging device with human readers or AI assistance in the way typically discussed for MRMC studies.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

    • Standalone performance: The assessment for this device is essentially "standalone" in that it's the device's technical specifications and electrical outputs being compared to standards and the predicate. There isn't an "algorithm-only" component as might be found in AI/ML submissions. Its performance is evaluated on its inherent properties and safety characteristics.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    • Type of ground truth: The "ground truth" in this 510(k) context is the established safety and effectiveness of the legally marketed predicate device (Thought Technology Ltd. MYOTRAC INFINITI, K053266) and adherence to recognized performance and safety standards for powered muscle stimulators (e.g., IEC 60601-1, IEC 60601-1-2, IEC 60601-2-10, ISO 10993). The "truth" is that the predicate is safe and effective for its intended use, and the new device is substantially equivalent if it meets similar technical specifications and standards.

    8. The sample size for the training set

    • Sample size for training set: N/A. There is no mention of a training set for an algorithm, as this device is a hardware-based electrical stimulator, not an AI/ML device.

    9. How the ground truth for the training set was established

    • How ground truth for training set was established: N/A. No training set was used.

    In summary: The provided document is a 510(k) summary, which aims to demonstrate "substantial equivalence" to a predicate device, not to prove de novo safety and effectiveness through clinical trials. Therefore, many of the questions related to clinical studies, test sets, ground truth establishment by experts, and AI performance are not applicable to this type of regulatory submission as presented. The "study" that proves the device meets the (implied) acceptance criteria is the non-clinical testing demonstrating compliance with relevant international safety and performance standards (e.g., IEC 60601 series, ISO 10993) and the detailed comparison of its technical specifications to those of a legally marketed predicate device.

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    K Number
    K202648
    Date Cleared
    2020-12-08

    (88 days)

    Product Code
    Regulation Number
    890.5850
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Biofeedback Nerve and Muscle Stimulator

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    As a powered muscle stimulator the Biofeedback Nerve and Muscle Stimulator is indicated for the following conditions:

    · Relaxation of muscle spasm

    · Prevention or retardation of disuse atrophy

    ·Increasing local blood circulation

    · Muscle re-education

    ·Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis

    · Maintaining or increasing range of motion

    As a biofeedback device the Biofeedback Nerve and Muscle Stimulator is indicated for the following conditions: · Biofeedback, relaxation and muscle re-education purposes

    As a nonimplanted electrical continence device the Biofeedback Nerve and Muscle Stimulator is indicated for the following conditions:

    · Acute and ongoing treatment of stress, urge or mixed urinary incontinence and where the following results may improve urinary control: Inhibition of the detruser muscles through reflexive mechanisms and strengthening of pelvic floor muscles.

    ·Incontinence treatment for assessing EMG activity of the pelvic floor and accessory muscles such as the abdominal and the gluteus muscles.

    Device Description

    This Biofeedback Nerve and Muscle Stimulator is a new type of biofeedback and neuromuscular electrical stimulation therapy device through the evaluation of myoelectric signal acquisition, multimedia biofeedback training, electromyography triggered electrical stimulation, passive electrical stimulation training and treatment.

    There are two models of Biofeedback Nerve and Muscle Stimulator which are KM530 and KM531. Their intended use, working principle, product structure and major parameters are all same, apart from the difference of product appearance, and KM531 has several more programs than KM530.

    The device is battery-powered with a display screen and offers the user a choice of EMG Test (Only for EMG acquisition, not for electrical stimulation), EMG Game (6 biofeedback responsebased vivid games, active training for the user to contract the muscles of the treatment area, no electrical stimulation is generated), ETS (electromyography triggered stimulation; Only when the EMG value reaches the set threshold, the electrical stimulation is triggered; This module is a combination of active and passive treatment module, which exercise the self-contracting ability of the user), and STIM (Neuromuscular stimulation with fixed programs and customized programs of which parameters can be adjusted under the directions of physicians or professionals).

    The device is supplied with vaginally inserted probe used with the device to stimulate the muscle of the pelvic floor (the probe is identical to that used in the model KM518 with 510(k) number K163288). Anal probe is optional, user can choose to purchase qualified probe. The device is supplied with biofeedback reference lead wire with skin electrodes. The device main unit connects directly to the vaginal electrode and reference wire by cable and plug. The device provides independent dual-channel EMG signals acquisition and dual-channel electrical stimulation output which is convenient for the treatment of different sites.

    AI/ML Overview

    I am designed to extract acceptance criteria and information about studies that prove a device meets those criteria. However, the provided document is a 510(k) summary for a "Biofeedback Nerve and Muscle Stimulator" and does not contain acceptance criteria in the format typically associated with performance metrics for clinical studies.

    Instead, this document focuses on demonstrating substantial equivalence to predicate devices by comparing technical characteristics (e.g., electrical output specifications, EMG performance, safety standards compliance) and indications for use. It outlines the non-clinical tests performed to ensure the device meets design specifications and relevant safety standards.

    Therefore, many of the requested fields regarding acceptance criteria, sample size for test sets, expert ground truth, adjudication methods, MRMC studies, or specific effect sizes are not applicable in this context, as the document does not describe a clinical performance study with such endpoints.

    Here's a breakdown of the information that is available in the provided text:

    1. A table of acceptance criteria and the reported device performance

    The document doesn't present specific acceptance criteria in a table; rather, it compares the technical specifications and performance characteristics of the proposed device ("Targeted device") against a "Predicate device" and "Reference devices." The "acceptance" can be inferred as being "similar" or "within the range" of the predicate devices.

    ItemAcceptance Criteria (Implied: Similar to/within range of Predicate)Reported Device Performance (Targeted Device)Predicate Device (STIWELL med4) PerformanceReference Device 1 (MyoTrac Infiniti System) PerformanceReference Device 2 (Kegel8) Performance
    General
    Regulation numberSame as Predicate21 CFR 890.5850, 876.5320, 882.505021 CFR 890.5850, 876.5320, 882.5050, 882.5890, 882.581021 CFR 890.5850, 882.5050, 876.532021CFR876.5320
    Regulation descriptionSame as PredicatePowered muscle stimulator; Nonimplanted electrical continence device; Biofeedback devicePowered muscle stimulator; Nonimplanted electrical continence device; Biofeedback device; Transcutaneous electrical nerve stimulator for pain relief; External functional neuromuscular stimulatorPowered muscle stimulator; Biofeedback device; Nonimplanted electrical continence deviceNon-implanted electrical continence device
    Product codeSame as PredicateIPF, KPI, HCCIPF, KPI, HCC, GZJ, GZIIPF, HCC, KPIKPI
    ClassSame as PredicateIIIIIIII
    Indications for useSimilar to PredicateAs listed in section (6)As listed in section (7) of comparison table in documentAs listed in section (7) of comparison table in documentAs listed in section (7) of comparison table in document
    Patient populationAdultAdultAdultAdultAdult
    Location for usePrescriptionPrescriptionPrescriptionPrescriptionPrescription
    Basic unit specification
    Power supplySimilar7.4V DC/1200mAh rechargeable lithium batteryBattery Pack Li-lon 11.1V4X AAA 1.5 Alkaline or rechargeable NiMH Battery pack 6VDC-15W Medical Class II power adapter9V PP3
    Method Line Current IsolationSameN/AMedical Class II Power AdapterN/AN/A-powered
    Leakage currentSameN/A (Battery)N/A (Battery)N/AN/A-powered
    Number of output modesSimilar (Note 2)21/1
    Number of output channelSame24/2
    Synchronous or Alternating?SimilarSynchronousAlternating/Synchronous/Alternating
    Method of channel isolationSameTransformerTransformer, inductive couplers/Individually isolated circuits
    Software/Firmware/Microprocessor/Control?YesYesYesYesYes
    Automatic Overload tripYesYesYes/Not publicly available
    Automatic no-load tripYesYesYes/Not publicly available
    Patient override control methodYes (similar to Predicate)YesYes (Stop Button)/Not publicly available
    Indicator displayYesYesYes/Yes
    Automatic Shut OffYesYesYes/Yes
    Timer rangeSimilar1-99min, adjustable2-120min/Up to 90
    DimensionsDifferent (Note 3)KM530: 140.5×25.5×69mm; KM531: 146.5×29×74mm175×95×30mm/6.2cm W x 2.3cm D x 10.8cm H
    WeightDifferent (Note 3)KM530: 192 g; KM531: 230g440g/0.07 Kg without battery, 0.1KG with battery
    Housing material and constructionPlasticPlasticPlastics//
    Compliance with voluntary standardsSameIEC 60601-1, 60601-1-2, 60601-1-11, 60601-2-10, 60601-2-40IEC 60601-1, 60601-1-2, 60601-2-10/IEC 60601-1, 60601-1-2, 60601-2-10
    Compliance with 21CFR 898YesYesYesYesYes
    Output specifications
    WaveformSimilarPulsed symmetric, asymmetric, biphasic square wavePulsed symmetrical, rectangular waveAsymmetrical Balanced Pulsed CurrentBiphasic, Rectangular
    Maximum output voltageSimilar (within range of predicate)47.2V @ 500Ω, 108V @ 2kΩ, 150V@ 10kΩ50V @500Ω, 115V@2kΩ, N/A/45V @ 500Ω, 100V @ 2kΩ, 190V @ 10kΩ
    Maximum output currentSimilar (within range of predicate)94.4mA @ 500Ω, 54mA @ 2kΩ, 15mA@ 10kΩ100mA@500Ω, 58mA@2kΩ, N/A100mA90mA @ 500Ω, 50mA @ 2kΩ, 19mA @ 10kΩ
    Net Charge (per pulse)Similar (Note 4)For pulsed symmetric, biphasic: 0µC @ 500Ω; For pulsed asymmetric, biphasic: 15.68μC @ 500Ω0µC @ 500Ω/0 [μC] @ 500Ω
    Maximum Phase Charge (500Ω)Similar51.4µC @ 500ΩEMS: 40µC @500Ω, Incontinence: 50µC @ 500Ω60μC40.5µC @ 500Ω
    Maximum current density (500Ω)Similar6.01mA/ cm²@ 500ΩEMS: 12.5mA/cm²@ 500Ω, Incontinence: 4.7mA/cm²@ 500ΩSt-Cloud Vaginal 6.76mA/cm², Femelex Vaginal 4.76mA/cm², St-Cloud Rectal 19.72mA/cm²14.1 [mA/cm²]
    Maximum power density (500Ω)Similar0.012W(12mW) cm2@ 500ΩEMS: 7.9mW/cm²@ 500Ω, Incontinence: 23.5μW/cm²@ 500ΩSt-Cloud Vaginal 22.84mW/cm², Femelex Vaginal 11.32mW/cm², St-Cloud Rectal 194mW/cm²57 [mW/cm²]
    Pulse frequencySimilar2-100Hz1-140Hz12.5,50,100,200Hz2 to 100Hz
    Pulse durationSimilar50-450μs50-400μs0.2ms50 to 450 [μsec] Program dependent
    Biofeedback performance
    Number of EMG channelSame222/
    EMG sampling rateSame3kHZ3kHz//
    EMG detectionSameBipolarBipolarBipolar/
    EMG range (μV)Similar0.2-2000μV1-2000μV0-5, 0-10, 5-10, 0-20, 5-20, 10-20, 0-50, 10-50, 0-100, 50-100,0-200, 50-200, 100-200, 0-500,100-500, 0-1000, 0-2000/
    EMG bandwidthSame20Hz-500Hz70-480Hz20Hz-500Hz/
    EMG signal processingSameRoot mean square (RMS)AVR (Average Rectified Value)Root mean square (RMS)/

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Not Applicable. The document describes non-clinical engineering and bench tests, not a clinical study involving human subjects or data sets that would have a "sample size" or "data provenance" in the traditional sense. Tests were conducted to verify compliance with design specifications and relevant standards.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    • Not Applicable. Ground truth, in this context, would refer to defined engineering specifications and international standards, not expert assessments of clinical cases. The "experts" would be the engineers and regulatory compliance personnel who developed and tested the device and verified its adherence to the standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    • Not Applicable. Adjudication methods are relevant for studies where there is ambiguity or disagreement in truth determination, typically in clinical assessments. This document pertains to objective engineering and electrical performance tests.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    • Not Applicable. This device is a Biofeedback Nerve and Muscle Stimulator, not an AI-assisted diagnostic or interpretive device for human "readers." No MRMC study was performed.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    • This device is not an algorithm, but a physical medical device. Its "standalone" performance refers to its ability to meet its technical specifications and safety standards independent of user interaction (e.g., electrical output, EMG acquisition accuracy, battery performance), which was evaluated through the non-clinical tests mentioned. Specific quantitative standalone performance metrics beyond "meets design specifications" are not provided in this summary.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    • For the non-clinical tests, the "ground truth" was based on:
      • Design Specifications: The manufacturer's own internal design requirements for the device.
      • International Standards: Compliance with recognized international standards for medical electrical equipment (e.g., IEC 60601 series) and biological evaluation of medical devices (e.g., ISO 10993 series).
      • Predicate Device Characteristics: The performance parameters and characteristics of legally marketed predicate devices, against which the new device was compared to establish substantial equivalence.

    8. The sample size for the training set

    • Not Applicable. This document does not describe the development of an AI algorithm or a study with a training set.

    9. How the ground truth for the training set was established

    • Not Applicable. No training set was used.
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    K Number
    K193276
    Date Cleared
    2020-09-23

    (302 days)

    Product Code
    Regulation Number
    882.5810
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Nerve and Muscle Stimulator

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Nerve and Muscle Stimulator (Model: XFT-2001EA) is intended to address the lack of ankle dorsiflexion in patients who have sustained damage to upper motor neurons or pathways to the spinal cord. During the swing phase of walking, the Nerve and Muscle Stimulator (Model: XFT-2001EA) electrically stimulates the appropriate muscles that cause ankle dorsiflexion and may thus improve the individual's gait. Medical benefits of Functional Electrical Stimulation (FES) may include prevention/retardation of disuse atrophy, increased local blood flow, muscle reeducation, and maintained or increased joint range of motion.

    Device Description

    Nerve and Muscle Stimulator (Model: XFT-2001EA) is a wearable and DC 3.7V rechargeable lithium battery powered multifunction device, and integrated metal (stainless-steel) electrodes, offering Functional Electrical Stimulation (FES) in device. It can be attached to the leg just below the knee, near the head of the fibula. During a gait cycle, the Nerve and Muscle Stimulates the common peroneal nerve via metal electrode, which innervates the tibialis anterior and other muscles that cause dorsiflexion of the ankle.

    The Nerve and Muscle Stimulator is a microprocessor-controlled device, and uses a smart phone operating application (APP) to store device, user and configuration information via Bluetooth. it can be operated by both smart phone application and the control panel of the device.

    Nerve and Muscle Stimulator has 3 working mode, Walk Mode, Training Mode and Evaluation Mode. The walk mode and training mode which can give certain electrical pulses through metal electrode to the proposed area of the leg where the Nerve and Muscle Stimulator are placed. There is no electrical stimulation in the evaluation mode, it is intended to collect the tilt angle data generated by the Stimulator during the patient's walking, and can calculate the recommend parameters based on the collected data.

    The control panel of the device has the operating elements of ON/OFF touch button, OLED display, mode selection touch button, intensity touch button and USB port for battery charging. The OLED display can show battery power, selected mode, current intensity and indication of a pause.

    The stimulator will connect the APP via Bluetooth, user can set the parameters, mode selection, and intensity adjustment of the stimulation by APP. Logout of the APP or disconnect the Bluetooth, the stimulator can continue to work.

    AI/ML Overview

    This FDA 510(k) summary is for a medical device (Nerve and Muscle Stimulator, Model: XFT-2001EA) seeking clearance based on substantial equivalence to a predicate device (XFT-2001D). The document primarily focuses on demonstrating that the new device is as safe and effective as the predicate, rather than providing a detailed study proving it meets specific clinical or diagnostic acceptance criteria for a novel functionality.

    Given the nature of a 510(k) submission for substantial equivalence where clinical data is often not required for device performance, the document relies heavily on comparison to a predicate device and compliance with established electrical, biocompatibility, and performance standards. It does not contain information typically found in a clinical study report that would establish specific acceptance criteria for diagnostic performance or treatment efficacy.

    Therefore, many of the requested sections (e.g., sample size for test set, data provenance, ground truth establishment for test/training sets, adjudication methods, MRMC studies, standalone performance) are not present in this type of regulatory submission. The document focuses on bench testing and comparisons to established safety and performance parameters rather than human-centric performance metrics.

    However, I can extract the relevant information regarding acceptance criteria and the "study" (which in this context refers to non-clinical testing performed for regulatory clearance) that demonstrates the device meets these criteria.


    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are not explicitly stated in numerical thresholds within the document, but are implicitly defined by compliance with specified international and national standards, and by showing equivalence or acceptable differences compared to the predicate device. The "reported device performance" is largely demonstrated through successful completion of these compliance tests.

    Acceptance Criterion (Implicit)Reported Device Performance (Demonstrated by)
    Electrical Safety and Essential Performance (IEC 60601-1)Device passed safety testing according to ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012 (Consolidated Text) (IEC 60601-1:2005, MOD).
    Electromagnetic Compatibility (IEC 60601-1-2)Device passed IEC 60601-1-2:2014 Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance – Collateral Standard: Electromagnetic disturbances – Requirements and tests.
    Home Healthcare Environment Compliance (IEC 60601-1-11)Device passed IEC 60601-1-11:2015 Medical electrical equipment - Part 1-11: General requirements for basic safety and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment.
    Nerve and Muscle Stimulator Specific Safety (IEC 60601-2-10)Device passed IEC 60601-2-10:2012+AM1:2016 Medical electrical equipment - Part 2-10: Particular requirements for the basic safety and essential performance of nerve and muscle stimulators.
    Wireless Coexistence (ANSI/IEEE C63.27, FCC Part 15 Subpart C & B)Device passed ANSI/IEEE C63.27:2017 American National Standard for Evaluation of Wireless Coexistence and FCC Rules and Regulations, Part 15, Subpart C and Subpart B. Wireless control noted as "meeting requirements of wireless coexistence," ensuring "quality of wireless could be assured during normal use."
    Rechargeable Battery Safety (IEC 62133-2)Rechargeable lithium battery passed IEC 62133-2:2017.
    Biocompatibility (ISO 10993-5, ISO 10993-10)Device passed biocompatibility tests according to ISO 10993-5:2009 (Tests for in vitro cytotoxicity) and ISO 10993-10:2010 (Tests for irritation and skin sensitization). Differences in electrode and cuff materials from the predicate were addressed by these tests.
    Performance Testing (FDA Guidance for Powered Muscle Stimulators)Device conducted and passed performance testing according to FDA guidance "Guidance Document for Powered Muscle Stimulator 510(k)s, document issued on June 9, 1999." Although specific numerical output parameters (Max Output Current, Frequency, Max Current Density, Max Average Current, Max Average Power Density) differed from the predicate, they were found to be "within the acceptable range by comparison with the device which previously cleared" and "do not impact safety and effectiveness."
    Substantial Equivalence to PredicateThe device is concluded to be substantially equivalent to the predicate device (K162718) based on intended use, technological characteristics, output mode, and applicable safety standards. Differences (power source capacity, number of output modes, specific electrical output parameters, electrode size/shape/materials, cuff materials, wireless control mechanism, weight, dimensions) were individually evaluated and found not to "raise any new issues or concerns of safety or effectiveness" because they either complied with standards, were within acceptable ranges of previously cleared devices, or were demonstrated safe/effective through specific non-clinical tests (e.g., biocompatibility, wireless coexistence).

    Detailed Breakdown of Requested Information (based on the provided document):

    1. A table of acceptance criteria and the reported device performance:

      • Acceptance Criteria: As detailed in the table above, the acceptance criteria are largely defined by compliance with specific international and national standards (e.g., IEC 60601 series, ISO 10993 series, ANSI/IEEE C63.27, FCC regulations) and by the demonstration that any differences from the predicate device do not raise new safety or effectiveness concerns.
      • Reported Device Performance: The reported performance is the successful passing of all listed non-clinical tests based on these standards and the justification for differences from the predicate.
    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

      • This document describes non-clinical bench testing. It does not involve a "test set" in the context of patient data. Therefore, sample size, data provenance, and retrospective/prospective nature are not applicable or detailed for human-subject data. The "test sets" would refer to the specific units of the device models (XFT-2001E, XFT-2001EA) used for the various bench tests.
    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):

      • Not applicable. This is a 510(k) submission for a non-diagnostic, therapeutic device, and the clearance is based on non-clinical testing and substantial equivalence, not on expert-adjudicated performance against a "ground truth" derived from patient data. The "ground truth" here is compliance with engineering and biocompatibility standards, assessed by testing laboratories.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

      • Not applicable. There is no human-reader adjudication for performance of this device in this submission.
    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

      • Not applicable. This device is a nerve and muscle stimulator, not an AI-powered diagnostic tool. No MRMC study was performed or mentioned.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

      • The "standalone performance" in this context refers to the device itself meeting the performance and safety standards through bench testing. The document states that the proposed device "passed safety testing" and "passed biocompatibility tests" and "conducted and passed performance testing-bench." This directly addresses the standalone performance of the physical device.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

      • The "ground truth" for this regulatory submission is compliance with established international and national medical device safety and performance standards (e.g., IEC 60601 series, ISO 10993 series, FCC regulations) and FDA guidance for similar devices. It is based on objective, quantifiable measurements performed during bench testing by accredited laboratories and assessed against the requirements of these standards.
    8. The sample size for the training set:

      • Not applicable. This device is not an AI/machine learning device that requires a training set in the conventional sense.
    9. How the ground truth for the training set was established:

      • Not applicable, as there is no training set for an AI/machine learning algorithm described in this submission.
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    K Number
    K193275
    Date Cleared
    2020-04-11

    (137 days)

    Product Code
    Regulation Number
    890.5850
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Nerve and Muscle Stimulator

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Over-The-Counter Use: TENS[ (Program 19, Program 15 (Frequency 15Hz)]: XFT-2000 is used for temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household and work activities. XFT-2000 is also intended for the symptomatic relief and management of chronic, intractable pain and relief of pain associated with arthritis. NMES[ (Program 1014, Program 15(5Hz≤Frequency≤50Hz)]: XFT-2000 is used to stimulate healthy muscles in order to improve and facilitate muscle performance. To be used for the improvement of muscle tone and firmness, and for strengthening muscles in the arms, abdomen, legs, and buttocks. Not intended for use in any therapy or for the treatment of any medical conditions or diseases. XFT-2000 is also intended to temporarily increase local blood circulation in health muscles of lower extremities. Prescription Use: XFT-2000 is intended for the following use: - Relaxation of muscle spasms - Prevention or retardation of disuse atrophy - Increasing local blood circulation - Muscle re-education - Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis - Maintaining or increasing range of motion - Adjunctive treatment in the management of post-surgical and post-traumatic acute pain.

    Device Description

    Nerve and Muscle Stimulator (model: XFT-2000) is based on the principles of neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS).The instrument has two independent channels, easy to operate and use. It can relieve muscle spasm, prevent or delay disuse muscle atrophy, promote local blood circulation, promote muscle function recovery, stimulate calf muscle after surgery to prevent venous thrombosis and maintain or increase the range of activity, and assist in the management of post-operative and post-traumatic acute pain problems. Nerve and Muscle Stimulator (model: XFT-2000) is powered by DC adapter or 3 dry AAA batteries, and used together with self-adhesive Electrode. The device is for both prescription and over the counter. It is neither for lifesupporting nor for implanting. It does not contain any drug or biological product and it does not need to be sterilized.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study for the Nerve and Muscle Stimulator (model: XFT-2000), extracted from the FDA 510(k) summary (K193275).

    It's important to note that this document is a 510(k) summary for substantial equivalence, not a detailed clinical study report. Therefore, some information, especially regarding specific clinical study methodologies, may be absent or generalized.


    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for this device are primarily based on demonstrating substantial equivalence to predicate devices (K082011 and K162517) through compliance with recognized consensus standards and by showing that any differences do not affect safety or effectiveness. The reported device performance is presented as compliance with these standards and a detailed comparison of technical parameters to the predicate devices.

    Acceptance Criteria CategorySpecific Acceptance Criteria (Inferred from standards and predicate comparison)Reported Device Performance (XFT-2000)
    Safety and EffectivenessSubstantial equivalence to predicate devices (K082011, K162517)Stated as "substantially equivalent"
    Performance (General)Compliance with IEC 60601-2-10 (Medical Electrical Equipment - Part 2-10: Particular Requirements For The Basic Safety And Essential Performance Of Nerve And Muscle Stimulators)Compliant
    BiocompatibilityAll patient-contacting materials comply with ISO 10993-1/-5/-10Compliant
    Electrical SafetyCompliance with IEC 60601-1 (General Requirements For Basic Safety And Essential Performance)Compliant
    EMC (Electromagnetic Compatibility)Compliance with IEC 60601-1-2 (Electromagnetic Disturbances - Requirements And Tests)Compliant
    Home Healthcare EnvironmentCompliance with IEC 60601-1-11 (Requirements For Medical Electrical Equipment And Medical Electrical Systems Used In The Home Healthcare Environment)Compliant
    Connecting SafetyCompliance with 21 CFR 898Compliant
    Technical ParametersTechnical parameters (Output Voltage, Current, Pulse Duration, Frequency, etc.) comparable to or within the established safe and effective ranges of predicate devices, with differences not affecting safety or efficacy.Detailed comparison provided in Tables 03-1 to 03-15 and Notes 02-05, indicating that differences do not affect safety and effectiveness.
    Output Modes/ProgramsNumber and functionality of output modes demonstrate substantial equivalence in terms of intended use.15 modes, compared to 9 (K082011) and 8 (K162517). Differences do not affect safety/effectiveness (Note 02).
    Power SourceDC adapter or 3 dry AAA batteries, meeting relevant safety standards.DC4.5V, 3 × AAA batteries; DC Adapter. DC adaptor meets IEC 60601-1 standard (Note 01).
    WaveformPulsed, Symmetrical balanced biphasic wave (rectangular) comparable to predicate devices.Pulsed, Symmetrical balanced biphasic wave (rectangular) – Same as K082011, comparable to K162517.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size for Test Set: The document explicitly states "N/A" for clinical tests (Section 5.8). The evaluation primarily relies on non-clinical tests demonstrating compliance with recognized standards and a comparison of technical specifications to legally marketed predicate devices. Therefore, there isn't a "test set" here in the sense of patient data used for performance claims.
    • Data Provenance: Not applicable in the context of a clinical test set. The data provenance relates to the technical specifications of the device itself and the predicate devices. This information is derived from the device's design and engineering specifications, and the publicly available information for the predicate devices (K082011, K162517). The manufacturer is Shenzhen XFT Medical Limited in China.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of those Experts

    Not applicable. As noted above, no clinical "test set" with ground truth established by experts was conducted for this 510(k) submission. The performance comparison is based on engineering specifications and adherence to international standards.

    4. Adjudication Method for the Test Set

    Not applicable, as no clinical test set requiring adjudication was conducted.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This device (Nerve and Muscle Stimulator) is a physical therapy device and not an AI-powered diagnostic or interpretive tool that would involve "human readers" or AI assistance in the way typically seen in imaging or other diagnostic fields. No MRMC study was mentioned or performed.

    6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This device is not an algorithm or AI system. Its performance is inherent to its electrical and mechanical design, validated through compliance with engineering standards.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" in this context is established through compliance with international consensus standards (IEC 60601-1, IEC 60601-1-2, IEC 60601-1-11, IEC 60601-2-10, ISO 10993-5, ISO 10993-10) and through demonstrating that its technical specifications and intended uses are substantially equivalent to legally marketed predicate devices whose safety and effectiveness have already been established. The comparison relies on documented device parameters and publicly available information for the predicate devices.

    8. The Sample Size for the Training Set

    Not applicable. This device does not involve a "training set" as it is not an algorithm or AI system that learns from data.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable, as there is no training set for this device.

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